Serious injury claims are down. Costs per claim are up. What does that mean for injured workers in Georgia?
The U.S. Bureau of Labor Statistics (BLS) has released its latest data on workplace injuries and fatalities, and at first glance, the numbers appear to be moving in the right direction. Across the U.S. and in Georgia, both nonfatal injuries and fatal workplace accidents declined compared to the prior year.
But a closer look at the numbers tells a more complicated story.
When we dig deeper into the data, we see that the most dangerous hazards remain largely unchanged, with certain industries continuing to carry disproportionate risk.
And even though workers are filing fewer claims, the cost of serious injuries continues to rise. In other words, fewer reported incidents do not necessarily mean safer workplaces.
In this article, we examine what the newest BLS data reveals about national and Georgia injury trends, which workers face the highest risk, how fatal and nonfatal patterns are shifting, and why workers’ compensation costs are climbing despite declining claim frequency.
Understanding these trends is essential to driving meaningful change—from stronger safety standards and enforcement by regulators to better training and accountability by employers. Ultimately, when workplace safety is a priority, workers are protected, businesses thrive, communities grow stronger, and the entire economy benefits.
National trends in nonfatal workplace injuries
While overall workplace safety has improved in the U.S. over the past decade, millions of American workers continue to suffer serious job-related injuries every year.
2024: The lowest total in 2 decades, but the full story is more nuanced
In 2024, private industry employers reported 2.49 million nonfatal workplace injuries and illnesses, a 3.1% decrease from 2023, according to a news release from the U.S. Bureau of Labor Statistics (BLS).
The total recordable case (TRC) rate fell to 2.3 cases per 100 full-time workers, down from 2.4 in 2023—the lowest rate recorded since this data series began in 2003.
At first glance, this suggests substantial progress in workplace safety.
However, a closer look shows that much of the decline was driven by a reduction in illness cases, particularly respiratory illnesses, rather than a dramatic drop in traumatic injuries.
Work injuries vs. illnesses: a return to pre-pandemic levels
Out of the nearly 2.5 million nonfatal workplace injuries and illnesses in 2024:
- 2.34 million cases were injuries, while only 148,000 were illnesses.
- Illness cases dropped sharply due to a reduction in reported respiratory illnesses.
Respiratory illnesses fell to only 54,000 cases in 2024, down significantly from pandemic-era highs of as much as 544,600 in 2020.
In other words, the overall drop in injuries and illnesses in 2024 happened mostly because far fewer illness cases were reported—not because workplace injuries decreased.
In fact, workplace injuries, the cases most likely to lead to workers’ compensation claims, have remained relatively unchanged over the last 3 years.
Days away from work due to serious injuries remain significant
Looking only at total injury numbers does not tell the full story. What really shows how serious an injury is is whether it forces someone to miss work.
Over the 2-year period from 2023 through 2024:
- 1.8 million workers had injuries serious enough to require time away from work.
- That works out to almost 87 cases for every 10,000 full-time workers.
- The typical injured worker missed 8 days of work.
And that is only counting cases where someone was injured badly enough that they couldn’t work at all.
When you also include cases where workers were placed on light duty or temporarily transferred to a different job because of their injury, the number climbs even higher.
Nearly 3 million total cases involved either days away from work, job restrictions, or transfers. In those cases, the typical disruption lasted about 2 weeks.
In plain terms, when workplace injuries happen, they are not minor inconveniences. They often mean missed paychecks, modified job duties, and weeks of recovery. For many families, even a short time away from work can create real financial difficulties.
What are the leading causes of serious workplace injuries?
The most serious nonfatal injuries (those involving days away, job restriction, or transfer) are not random. A small number of incidents consistently account for the majority of severe cases.
Top causes of DART cases (2023–2024)
| Type of accident | DART cases | Median days missed work |
|---|---|---|
| Overexertion & repetitive motion | 946,290 | 24 |
| Contact incidents (struck/caught) | 860,050 | 10 |
| Falls, slips, trips | 721,720 | 20 |
| Exposure to harmful substances | 224,450 | 5 |
| Transportation incidents | 121,330 | 21 |
Key takeaways:
- Overexertion and repetitive motion injuries are the most common causes of missed work. These cases often involve lifting injuries, back strain, and musculoskeletal disorders, and they result in the longest median time away from work (24 days).
- Falls remain highly disruptive and severe. With a median of 20 days away, fall-related injuries often involve fractures, head trauma, and serious orthopedic damage.
- Transportation incidents, while less frequent, are often severe—with a median time away from work of 21 days. These cases frequently involve vehicle crashes that lead to catastrophic injuries like paralysis, organ damage, and brain bleeds.
- Contact incidents remain common across many job sites. Being struck by falling objects or caught in machinery can lead to serious injuries, including amputations and brain injuries. These incidents continue to primarily affect workers in construction, manufacturing, and warehouse settings.
What this data means for worker safety
Although 2024 recorded the lowest total number of reported cases in decades, nearly 2.5 million American workers were still injured or made ill on the job.
More importantly:
- Nearly 3 million serious cases involved missed work or job restrictions.
- The leading causes of severe injuries—overexertion, falls, contact incidents, and transportation events—have remained consistent year after year.
- The median recovery time for many serious injuries is weeks, not days.
The bottom line: The declining totals in nonfatal work injuries and illnesses in 2024 do not necessarily mean that work injury risks have decreased or that workplaces have become safer for workers.
National trends in fatal workplace injuries
While millions of workers suffer nonfatal injuries each year, thousands of families experience something even more devastating: the loss of a loved one due to a work-related accident.
Key findings about fatal work injuries in the U.S. in 2024
Although fatal workplace injuries declined slightly in 2024, data from the BLS shows that job-related deaths remain a persistent and serious national problem. Here are the key findings:
- Transportation workers continue to face the highest fatal risk. Transportation and material moving occupations had the highest number of workplace deaths in 2024, with 1,391 fatalities. Although this was a 7% decline from the prior year, these workers still experienced a fatality rate of 12.5 deaths per 100,000 workers—nearly 4 times the national average. This category includes truck drivers, delivery drivers, heavy equipment operators (e.g., forklift drivers), and others who spend significant time on the road or around moving vehicles.
- A worker died nearly every 1 hour and 44 minutes. In 2024, a U.S. worker died from a job-related injury approximately every 104 minutes. That represents a slight improvement from 2023, when a worker died every 99 minutes on average.
- The fatal injury rate declined for the second straight year. The national fatal injury rate fell to 3.3 deaths per 100,000 full-time workers, continuing a modest downward trend. However, the decline was incremental, not dramatic, and thousands of workers still lost their lives.
- The drop was largely driven by fewer exposure-related deaths. The overall decline in fatalities was primarily the result of a 16.2% reduction in deaths caused by exposure to harmful substances or environments. Within that category, workplace drug and alcohol overdoses accounted for the majority of the decrease. Overdose-related fatalities fell from 512 in 2023 to 410 in 2024.
What the national data shows overall is that while total fatalities declined modestly in 2024:
- Transportation incidents remain the leading cause of death.
- High-risk occupations continue to account for a disproportionate share of fatalities.
- The overall decline was driven primarily by reductions in overdose-related deaths rather than across-the-board safety improvements.
So, although workplace fatality numbers improved slightly, the same core risks—transportation events, exposure hazards, falls, and violence—continue to define the most dangerous jobs in America.
Top causes of workplace fatalities across the U.S.
These were the most common causes of death in U.S. workplaces in 2024:
- Transportation incidents – 1,937 deaths (down slightly from 1,942 in 2023). Transportation remains the leading cause of workplace fatalities. While overall numbers declined slightly, certain subcategories increased:
• Pedestrian incidents involving motorized vehicles rose from 310 to 369.
• Road work zone pedestrian deaths increased from 48 to 61.
• Aircraft and water vehicle incidents also increased.
• However, roadway collisions overall declined, including fewer vehicle overturns (154 in 2024 vs. 190 in 2023). Despite modest improvement in some areas, transportation hazards continue to account for nearly 40% of all workplace deaths. - Falls, slips, and trips – 844 deaths (down from 885 in 2023). Fatal falls declined overall, particularly falls to a lower level (666 in 2024 vs. 725 in 2023). Falls remain one of the most persistent and deadly workplace hazards, especially in construction and industrial settings.
- Contact incidents – 756 deaths (down from 779 in 2023). These include workers struck by objects or caught in equipment. Deaths involving being struck by falling objects decreased from 394 to 357. However, collapse or engulfment incidents increased slightly (80 vs. 73). Contact incidents remain a major hazard in construction, manufacturing, agricultural, and industrial settings.
- Violent acts – 733 deaths (down slightly from 740 in 2023). While total violent deaths dipped slightly, homicides actually increased (470 in 2024 vs. 458 in 2023). Shootings rose from 373 to 379, and suicides declined from 281 to 263. Workplace violence continues to be a major contributor to occupational fatalities.
- Exposure to harmful substances or environments – 687 deaths (down significantly from 820 in 2023). This category saw the largest decline year-over-year. Drug and alcohol overdose deaths dropped sharply from 512 to 410. Deaths from oxygen deficiency also fell from 55 to 35. However, inhalation-related deaths increased slightly. The overall drop in fatalities nationwide was largely driven by this category’s decline.
- Explosions and fires – 93 deaths (down from 104 in 2023). While smaller in total numbers, these events remain highly catastrophic when they occur.
U.S. worker fatality risk by occupation
Workplace fatality data consistently shows that certain occupations face far greater risks than others. In 2024, while total workplace deaths declined slightly nationwide, the same high-risk job categories continued to account for a disproportionate share of fatalities.
Below is a breakdown of the most dangerous occupations in 2024, as well as the trends in recent years:
- Transportation and material moving occupations – 1,391 deaths in 2024. This was the deadliest occupational group. It includes truck drivers, delivery drivers, heavy equipment operators, and material handlers. Heavy and tractor-trailer truck drivers alone accounted for 798 deaths. Although fatalities in this category declined from 1,495 in 2023 and 1,620 in 2022, it remains the most dangerous field overall.
- Construction and extraction occupations – 1,032 deaths in 2024. Construction trades workers accounted for 788 deaths. Fatalities in this group have remained consistently high over the past 5 years, peaking at 1,056 in 2022 and only slightly decreasing since then.
- Installation, maintenance, and repair occupations – 437 deaths in 2024. This category includes mechanics and equipment repairers. Fatalities increased significantly from 393 in 2020 and have remained elevated since 2021.
- Building and grounds cleaning and maintenance occupations – 356 deaths in 2024. Grounds maintenance workers accounted for the majority of deaths in this group (239). Fatalities have gradually increased from 307 in 2020 to 356 in 2024.
- Protective service occupations – 281 deaths in 2024. This includes law enforcement and security workers. Fatalities spiked in 2022 (335) before declining somewhat in 2023 and 2024 but remain elevated compared to 2020 levels.
- Farming, fishing, and forestry occupations – 248 deaths in 2024. Agricultural workers alone accounted for 151 deaths. Fatalities in this sector have remained consistently high, reflecting the hazardous nature of agricultural and logging work.
- Production occupations – 238 deaths in 2024. This category includes factory and manufacturing workers. Fatalities rose from 224 in 2020 to 280 in 2023 before declining in 2024.
- Sales and related occupations – 189 deaths in 2024. Retail sales workers accounted for 114 deaths. Fatalities peaked at 219 in 2023 before declining in 2024.
Key takeaways:
- Transportation and construction occupations have consistently ranked first and second in total fatalities every year.
- Transportation deaths surged in 2021 and 2022 before declining in 2023 and 2024.
- Construction fatalities have remained persistently high with only modest fluctuations.
- Installation, maintenance, and repair deaths rose sharply after 2020 and remain elevated.
- Protective service occupations experienced a spike in 2022 tied to increased violent incidents.
- Agricultural and logging work continues to produce steady, high fatality counts year after year.
Overall, the most dangerous jobs in America are those that involve:
- Heavy vehicles and roadway exposure.
- Working at heights or around heavy equipment.
- Industrial machinery and repair work.
- Outdoor and high-risk environments.
- Public-facing roles with exposure to violence.
Although total fatalities declined modestly in 2024, the same core occupational groups continue to experience the highest number of deaths. The risk profile of American workplaces has remained remarkably consistent over the past 5 years.
Latest fatal workplace injury trends in Georgia
National trends help explain overall risk, but Georgia workers face their own distinct patterns. When we look at recent BLS data for 2022 through 2024, a clearer picture emerges of how fatal workplace injuries are trending across the state and which industries carry the highest risk.
In 2024, Georgia recorded 170 fatal workplace injuries.
That represents:
- A significant decline from 192 fatalities in 2023.
- A sharper drop from 209 fatalities in 2022, which was the highest of the three-year period.
Georgia’s overall fatality rate in 2024 was 3.4 deaths per 100,000 full-time equivalent workers. For comparison, the 2023 fatality rate for workers was 4.0, and the 2022 rate was 4.3.
This marks 2 consecutive years of decline in both total deaths and the fatality rate. However, while the numbers improved, Georgia’s fatality rate for workers remains close to the national average and still reflects serious risk in certain industries.
What caused the most fatal workplace injuries in Georgia in 2024?
In 2024, the leading causes of workplace deaths in Georgia were:
- Transportation incidents – 58 deaths. Although down from 69 in 2023 and 88 in 2022, transportation remains the leading cause of death in the state.
- Contact with objects or equipment – 40 deaths. This increased from 35 in 2023 and 28 in 2022, showing a rising trend in struck-by and machinery-related incidents.
- Violence by a person or animal – 26 deaths. This declined from 32 in 2023 and 38 in 2022, but it remains a significant contributor.
- Slips, trips, and falls – 24 deaths. Deaths from falls are down from 29 in 2023 and 30 in 2022.
- Exposure to toxic substances or harmful environments – 17 deaths. These deaths decreased slightly from 20 in 2022.
The big picture: Transportation deaths have declined substantially since 2022, which helped drive the overall drop in fatalities. However, contact-related deaths have increased, signaling ongoing risk in industrial and equipment-heavy workplaces.
Which industries have the most workplace fatalities in Georgia?
In 2024, fatal injuries among private industry workers were concentrated in a small number of sectors:
- Construction – 35 deaths. Down slightly from 37 in 2023 and close to 34 in 2022. Construction remains one of the deadliest industries in Georgia.
- Transportation and warehousing – 34 deaths. A major decline from 55 in 2022 and 36 in 2023, reflecting the drop in transportation-related incidents.
- Manufacturing – 19 deaths. Relatively steady compared to 20 in 2023 and 16 in 2022.
- Administrative and waste services – 17 deaths. Down from 30 in 2022 and 19 in 2023.
- Mining– 6 deaths.
- Agriculture, forestry, fishing, and hunting – 6 deaths.
These industries consistently appear among Georgia’s most hazardous sectors due to exposure to heavy equipment, vehicles, elevated work environments, and industrial machinery.
Which industries have the highest fatality rates in Georgia?
Looking at raw numbers alone does not tell the full story. Fatality rates show how dangerous a job is relative to the number of workers in that field.
In 2024, the BLS reports that Georgia’s fatality rates per 100,000 full-time workers were:
- Construction – 10.2
- Transportation and utilities – 9.7
- Agriculture, forestry, fishing, and hunting – 7.9
- Manufacturing – 4.1
- Wholesale and retail trade – 2.2
Construction and transportation workers faced fatality risk levels nearly 3 times higher than the statewide average.
Here’s how these numbers compare to prior years:
In 2023:
- Agriculture had the highest rate at 13.3
- Transportation and utilities – 10.0
- Construction – 9.5
In 2022:
- Transportation and utilities peaked at 12.9
- Construction – 8.9
So, while transportation risk has decreased since its 2022 peak, it remains among the highest-risk sectors. Construction fatality rates have steadily climbed from 8.9 in 2022 to 10.2 in 2024, showing worsening relative risk even as total statewide deaths declined.
What Georgia’s fatal work injury trends reveal
Between 2022 and 2024:
- Transportation-related deaths decreased substantially.
- Total fatal injuries declined from 209 to 170.
- The statewide fatality rate dropped from 4.3 to 3.4.
- Contact-related deaths increased.
- Construction remains persistently high-risk.
While the direction is encouraging, many of the industries driving Georgia’s economy, like construction, transportation, manufacturing, and agriculture, continue to have an elevated risk of death.
The numbers may fluctuate year to year, but the core pattern remains consistent: workers exposed to heavy vehicles, machinery, elevated work, and industrial environments face the greatest danger.
National workers’ compensation cost trends
Most final 2024 national cost reports are still being completed. However, early data from the National Council on Compensation Insurance (NCCI), which tracks workers’ compensation trends nationwide, gives us a clear picture of what is happening.
Here is what changed from 2023 to 2024 for serious, lost-time claims.
- Fewer serious claims were filed. The number of claims involving time away from work dropped by about 5% in 2024. This continues a long-term trend of declining claim frequency.
- The average cost per claim went up. Even though there were fewer claims overall, the average cost of a serious claim increased by roughly 6%. Both medical costs and wage replacement benefits rose compared to 2023.
Put simply, fewer workers are filing serious claims than in past years, but when a serious injury does happen, it is more expensive than ever. Higher medical bills, longer recovery periods, and increased wage replacement benefits are driving that trend.
What are the most expensive workers’ compensation claims nationwide?
To understand why claim costs are rising, it helps to look at which types of injuries are the most expensive. The following data reflects lost-time claims that occurred in 2022-2023, based on NCCI’s 2024 State of the Line Report.
The average cost for all lost-time claims combined was $47,316. But certain types of injuries cost far more than that.
Most expensive workers’ comp claims by cause of injury
How an accident happens has a major impact on how expensive the claim becomes. Below are the types of accidents that lead to the most costly workers’ compensation claims:
- Motor-vehicle crashes are the most expensive, averaging $91,433 per claim.
- Burns average $64,973.
- Falls average $54,499.
- Caught-in or caught-between incidents average $47,749.
Motor-vehicle crashes stand out dramatically. They cost nearly double the overall average claim.
Most expensive claims by nature of injury
The type of injury itself also drives the cost of workers’ comp claims:
- Amputations are the most expensive by far, averaging $125,058 per claim.
- Other trauma averages $68,231.
- Fractures, crush injuries, and dislocations average $66,467.
- Burns average $64,019.
Amputation claims cost nearly 3 times the overall average. That’s because these cases typically involve extensive surgeries, rehabilitation, prosthetics, and long-term wage replacement.
Most expensive claims by body part injured
The part of the body affected also significantly impacts cost:
- Head and central nervous system injuries average $90,043 per claim.
- Injuries involving multiple body parts average $77,614.
- Neck injuries average $70,575.
- Hip, thigh, and pelvis injuries average $66,634.
- Leg injuries average $61,977.
- Arm or shoulder injuries average $55,115.
Injuries involving the head, brain, or multiple body regions are especially expensive because they often require complex medical treatment and longer disability periods.
So, while the total number of serious workers’ compensation claims is declining, the injuries that do occur tend to be more severe and more expensive. High-cost events like vehicle crashes, amputations, and head injuries significantly drive overall system costs.
Georgia workers’ compensation costs trends
Just like we’re seeing nationally, Georgia’s most recent workers’ compensation report (covering injuries that happened in 2024) shows an important shift: the number of claims is going down, but the total cost of those claims is going up.
Here’s what the 2024 numbers show:
- 85,957 medical-only claims filed. These are less severe injuries where the worker needed medical treatment but did not miss enough work to receive wage replacement benefits.
- 27,537 indemnity claims filed. These are the more serious claims where a worker missed time from work due to their injury.
- $126.6 million paid in medical-only claims. These are cases where the worker needed medical treatment but did not miss enough work to qualify for wage replacement benefits. Even though these claims are considered less severe, they still resulted in more than $126 million in medical payments statewide.
- $1.72 billion paid in Georgia workers’ comp benefits. This is the total amount insurers paid out in workers’ compensation benefits for injuries that occurred in 2024. That includes wage replacement and medical care combined.
- $865 million paid in indemnity benefits. Indemnity benefits are the checks injured workers receive to replace lost wages when they cannot work. Nearly $865 million was paid in wage replacement alone in 2024.
- $728 million paid in medical payments on indemnity claims. This covers medical treatment for more serious injuries that also involve lost time from work—things like surgeries, hospital stays, physical therapy, and ongoing care.
Georgia work injury 10-year trend analysis (2014–2024)
Looking at the full decade reveals several important patterns.
Total workers’ compensation paid
Georgia paid just over $1.72 billion in workers’ comp benefits in 2024, up from approximately $1.62 billion in 2023.
Over the past decade:
- 2014 was a historic high at just over $2.0 billion.
- Costs declined sharply from 2015 to 2016.
- Payments dipped significantly in 2020 during the pandemic.
- Since 2021, total payouts have steadily increased.
Indemnity benefits (wage replacement)
Indemnity payments reached $865 million in 2024, the highest level in nearly a decade (excluding 2014).
Notable trends:
- After bottoming out in 2016, indemnity payments gradually climbed.
- A sharp increase occurred between 2021 and 2022.
- Payments dipped slightly in 2023, then rose again in 2024.
Medical paid on indemnity claims
Medical costs tied to serious claims totaled $728 million in 2024.
Notable trends:
- Medical spending was strong from 2017 to 2019.
- It dropped sharply in 2020.
- Since 2021, it has steadily rebounded. (Medical inflation and increased treatment complexity likely play a role here.)
Indemnity claim counts
Indemnity claims declined to 27,537 in 2024, down significantly from the 2017 peak of 35,723.
Notable trends:
- Serious claim counts have trended downward overall.
- The largest drop occurred after 2018.
- 2023 and 2024 represent the lowest serious claim counts in the dataset.
- Despite fewer serious claims, overall system costs are rising again.
Medical-only claims
Medical-only claims (generally less severe injuries) totaled 85,957 in 2024.
Notable trends:
- Medical-only claims were above 100,000 in 2014.
- They dropped dramatically in 2020.
- They are gradually rising again but remain below earlier highs.
What the Georgia workers’ comp claims data shows
When we put the numbers together, a clear picture emerges:
- Claim frequency is down.
- Total dollars paid are rising again.
- Indemnity payments are increasing faster than claim counts.
- Medical costs remain a major driver of total payouts.
This mirrors what we saw nationally: fewer claims overall, but each serious claim is becoming more expensive.
For injured workers, this matters because when costs per claim rise, insurers often scrutinize cases more aggressively.
That makes it more important than ever for injured workers to seek assistance from an experienced Atlanta workers’ compensation attorney who can ensure their medical evidence is properly documented, all deadlines are met, and their wage replacement and medical benefits are calculated correctly.
Related video resources
Get help from an experienced work injury law firm in Georgia
Workplace injury data tells an important story, but for injured workers in Georgia, it’s not just about trends or statistics. It is about their health, their paycheck, and their family’s future.
At Gerber & Elkins Workers’ Compensation Attorneys, we’ve spent decades advocating exclusively for injured workers across the state.
Our Atlanta work injury attorneys are actively involved in leading workers’ compensation and trial lawyer organizations at both the state and national levels, including the Workers’ Injury Law & Advocacy Group (WILG) and the Atlanta Volunteer Lawyers Foundation. That level of involvement means we’re not just handling workers’ comp claims—we’re helping shape the future of worker protections in Georgia.
When insurers question your injury, deny your benefits, or undervalue your claim, experience and commitment matter. Gerber & Elkins fights to ensure injured workers receive proper medical treatment and the full workers’ comp benefits they’re entitled to under Georgia law.
If you or a loved one has suffered a work-related injury or occupational illness in Georgia, contact Gerber & Elkins Workers’ Compensation Attorneys for a free consultation—because your recovery and your family’s financial stability are too important to leave to chance.
References
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